Guest guest Posted June 18, 2004 Report Share Posted June 18, 2004 Jan asked about my comment about " the best surgeons " removing all the fibroids and not leaving any behind. I'm not sure what your question is. And while I do agree that the best surgeon for you may not be the best surgeon for me, there are certain qualities that I use to definte 'best surgeon' I think there are some surgeons who are more technically skilled at performing myos. These are often the ones who have performed a lot of myos, but not necessarily. I believe that doctors who take on patients that other doctors are unable, unwilling or afraid to take on (due to complexity of the surgery), and have a highly successful fibroid removal rate, are who I consider the best surgeons. I think that probably surgeons of average competence should be able to remove one small fibroid without any difficulty. And I think that most do. But I needed somebody with more proven skill. For large fibroids, or multiple fibroids (I had what appeared to be 5 or 6 on the sonogram, but I suspected was many more, turned out to be over 40), it seems, from what women here have shared, as well as many women I have discussed this with outside this list, only highly skilled surgeons seem to be able to successfully perform this surgery, and remove all of the fibroids that are there, on a consistent basis. And usually, these are the doctors who prefer that a woman does NOT take Lupron before the surgery. It also seems that these doctors genuinely care about their patients and understand those of us who tell them that it is very important to us that we keep our uterus. (I'm not saying that other doctors are not concerned about this, but I am saying that doctors who try very hard to perform the requested operation, and usually succeed, seem to feel this way more often.) The doctor I went to, who fits this criteria, is Dr. West. From talking to many other people, I believe that Dr. and Dr. Glassner in PA also fall into this category. I'm sure that there are others; these are the ones who I know at least several people who had wonderful experiences with. And another male doctor, in Boston, whose name escapes me, but who I heard speak at the HERS conference (Dr. Levine, I believe), and I've heard many successful stories about is somebody I would consider if I needed to have another myo. Having said that, I know that most of these doctors do not accept insurance, and depending on what your plan pays for going out-of-plan, it's not possible to necessarily have the surgery with the best surgeon you can find. But for many of us, it was worth giving up a few years of vacations, and contributions to a 401K or whatever else we had to sacrifice, to have the surgeon of our choice. Which I'm pained to say I know is not possible for everyone. One last point. For me, surgical excellence was the prime criteria. And total confidence in the doctor, that I would get the promised myo and not a hysterectomy, just because the surgery was going to take longer than anticipated. Other women are more concerned about a really easy-to-talk-to, supportive and nurturing person. That was not my prime criteria. I was thrilled to find both in one person. But once in the past when I needed a surgeon, I found somebody who was medically excellent but not-so-pleasant a person. And that was OK with me. It doesn't mean it needs to be OK with anybody else. One last point, which there are several other women here who seem to be supporting my declaration of Dr. West's excellence. I believe that women who go to the 'best surgeons' tend to recuperate more quickly than others. Not an absolute rule, there are lots of reasons for easier and more difficult recoveries. But on average, that's what I see. R. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 19, 2004 Report Share Posted June 19, 2004 R., I have an appt. with the Dr. Glassner that you mentioned in your post. Do you know women who have had experiences with him? Thanks! Suzanne Quote Link to comment Share on other sites More sharing options...
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